NPI | 1376505867 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: UT 6068204-1205) |
Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: UT 6068204-1205) |
Enumeration Date | 2006-04-03 |
Last Update Date | 2010-04-21 |